Objectives: To develop a novel technique to visualize dentogingival profiles by using cone beam computed tomography (CBCT) and to evaluate the accuracy of mucogingival tissue thickness measurements with CBCT, as compared with direct measurements in vitro.
Methods: A silicone matrix loaded with radiopaque impression material was prepared before performing CBCT on a patient. Two dry cadaver mandibles with simulated mucogingival tissue and six segmental cadaver jaws were used to assess the accuracy of mucogingival tissue thickness measurements directly and radiographically with CBCT images. Paired t tests were used to evaluate the intra- and interexaminer reliability and to compare the data between direct and CBCT imaging measurements at α = 0.05.
Results: No statistically significant differences were observed between direct and CBCT imaging measurements of simulated mucogingival tissue thickness in mandibular models and in cadaver jaws (P > .05). Results of direct measurements with simulated mucogingival tissue thickness indicated good intra- and interexaminer reliability.
Conclusions: A novel technique was developed to obtain mucogingival tissue thickness data on the use of radiopaque impression materials and CBCT imaging. This new method provides a reliable visual dentogingival profile and a means to objective measurements.
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http://dx.doi.org/10.1016/j.oooo.2014.10.022 | DOI Listing |
Int J Periodontics Restorative Dent
January 2025
Bone augmentation procedures often leads to coronal displacement of the mucogingival junction, a deficiency of keratinized mucosa, and a reduction in soft tissue height. These challenges complicate the achievement of an ideal peri-implant phenotype. It is known that addressing both the quantity and quality of soft tissue is crucial for the long-term success and aesthetics of implants.
View Article and Find Full Text PDFThis case report introduced a new technique to manage buccal deep isolated recession with loss of keratinized tissue. This technique is indicated where there is a good amount of keratinized tissue lateral to the defect and deep vestibule. In this case report, a 27-year-old male patient was referred to a periodontal surgery clinic for the management of an 8 mm buccal recession with loss of keratinized tissue related to auto-transplanted maxillary molar that caused discomfort to the patient.
View Article and Find Full Text PDFDent Res J (Isfahan)
November 2024
Department of Periodontology, Dental Student's Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Background: This systematic review and meta-analysis aimed to assess the efficacy of autologous platelet concentrate (APCs) in comparison with coronally-advanced flap alone or in combination with connective tissue graft or other biomaterials or bioactive agents for root coverage (RC) of Miller's Class I and II gingival recession defects by measuring the keratinized mucosa width (KMW).
Materials And Methods: This systematic review and meta-analysis was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis guidelines. An electronic search of the literature was conducted in PubMed, EMBASE, Scopus, Cochrane, Web of Science, Magiran, Scientific Information Database, and Irandoc for randomized clinical trials (RCTs) that used APCs for RC in their intervention group.
Med Oral Patol Oral Cir Bucal
January 2025
Department of Stomatology Faculty of Medicine and Nursing University of the Basque Country, UPV/EHU Barrio Sarriena s/n, 48940, Leioa, Biscay, Spain
Background: Although postoperative pain after mucogingival surgery can modify the patient's daily life, few studies have compared daily postoperative pain in mucogingival surgery considering patient characteristics. The aim of this study was to evaluate postoperative pain in 24 patients with Miller class III/RT2 multiple recessions treated with the modified VISTA (m-VISTA) versus the coronally advanced flap (CAF) with a connective tissue graft (CTG).
Material And Methods: Data related to pain intensity (PI), pain duration (PD), analgesic drug intake (AI), and time of analgesic need (TAN) were collected in the "UPV/EHU pain diary".
Cureus
November 2024
Oral Biochemistry and Molecular Biology, Graduate School of Dental Medicine, Hokkaido University, Sapporo, JPN.
In cases with a highly positioned mucogingival junction, an apically positioned flap in combination with palatal-mucosa grafting is commonly performed to deepen the sulcus. However, we believe that immobilizing the mucosa is more important than merely deepening it; thus, we developed a simple method based on the characteristics of its components. Elastic fiber should be replaced by collagen fiber.
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